Organization · Type 2 NPI
Faith and Radical Self-Love, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Warren, MI
NPI number
1205441722
Active
Practice location
22804 Sharrow Ave
Warren, MI 48089-2882
Fax (313) 251-7344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1205441722
Faith and Radical Self-Love, LLC's National Provider Identifier is 1205441722, issued on Sep 11, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Warren, MI. The record was last updated on Feb 4, 2022.